Evidence map›Paper›PMID 34746980›Full record

ArticleCJEM2022

Anxiolysis for laceration repair in children: a survey of pediatric emergency providers in Canada.

Kriti Kumar, Samina Ali, Vikram Sabhaney, Evelyne Trottier, Amy Drendel, Maala Bhatt, Leslie Boisvert, Naveen Poonai, Pediatric Emergency Research Canada

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in CJEM, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06516003 (Use of Immersive Virtual Reality for Laceration Repairs in the Pediatric Emergency Department), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06516003 nacompletednot on this map

Use of Immersive Virtual Reality for Laceration Repairs in the Pediatric Emergency Department

TypeinterventionalSponsorEastern Virginia Medical SchoolRan2022 to 2023Enrolled91ConditionsLacerationArmsImmersive Virtual Reality Goggles, Standard of Care
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 2 countries.

Kriti KumarDepartment of Pediatrics, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.
Samina AliDepartment of Pediatrics, Faculty of Medicine and Dentistry, Women and Children's Health Research Institute, University of Alberta, Edmonton, AB, Canada.
Vikram SabhaneyDepartment of Pediatrics, Faculty of Medicine, British Columbia Children's Hospital, University of British Columbia, Vancouver, BC, Canada.
Evelyne TrottierDépartement d'Urgence Pédiatrique, CHU Sainte-Justine, Faculté de Médecine, Université de Montréal, Montréal, QC, Canada.
Amy DrendelDepartment of Pediatrics, Children's Hospital of Wisconsin, Milwaukee, WI, USA.
Maala BhattDepartment of Pediatrics, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.
Leslie BoisvertDepartment of Pediatrics, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.
Naveen PoonaiDepartments of Paediatrics, Internal Medicine, Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Western University, 800 Commissioners Road East, London, ON, N6A 2V5, Canada. naveen.poonai@lhsc.on.ca.ORCID http://orcid.org/0000-0003-1540-0413
Pediatric Emergency Research Canada
Western University · CACentre Hospitalier Universitaire Sainte-Justine · CAChildren's Hospital of Eastern Ontario · CAChildren's Hospital of Wisconsin · USUniversity of Alberta · CAUniversity of British Columbia · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesIntranasal dexmedetomidine is a potentially effective anxiolytic but its role in pediatric laceration repair is only emerging. Future trials and clinical adoption of intranasal dexmedetomidine depend on understanding pediatric emergency providers' practice patterns surrounding anxiolysis and perceived barriers to intranasal dexmedetomidine for anxiolysis during suture repair in children. Our objectives were to characterize these parameters to inform future research and facilitate clinical adoption.

methodsWe conducted an online survey of pediatric emergency physician members of Pediatric Emergency Research Canada from September to December 2020. Questions pertained to perceptions of anxiolysis for suture repair, with a focus on intranasal dexmedetomidine. The primary outcome was anxiolysis for suture repair. Data were reported using descriptive statistics.

resultsThe response rate was 155/225 (68.9%). During suture repair, 127/148 (86%) believed that > 25% of young children experience distress requiring physical restraint. 116/148 (78%) would provide anxiolysis, mainly intranasal benzodiazepines (100/148, 68%). Only 6/148 (4%) would provide intranasal dexmedetomidine but 95/148 (64%) would consider it if there was evidence of benefit. The most common perceived barriers to intranasal dexmedetomidine included inadequate personal experience (114/145, 79%) and lack of access (60/145, 41%).

conclusionsMost Canadian pediatric emergency providers believe that laceration repair in a young child is distressing. Despite questionable efficacy, most would provide intranasal benzodiazepines, but would consider intranasal dexmedetomidine if there was evidence of benefit.

Indexed as

DexmedetomidineLacerationsBenzodiazepinesCanadaChildChild, PreschoolHumansHypnotics and SedativesBenzodiazepinesDexmedetomidineHypnotics and SedativesAnxiolysisDexmedetomidineEmergency departmentLaceration repairPediatricsProcedural distressSedation

Identifiers

PMID34746980
OpenAlexW3213589664

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.